Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SOUTHBRIDGE MEDICAL ADVISORY COUNCIL, INC.

NPI: 1760874549 · CLAYMONT, DE 19703 · Family Medicine Physician · NPI assigned 03/03/2015

$366K
Total Medicaid Paid
4,581
Total Claims
3,364
Beneficiaries
4
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSCOTT, NACHET (CEO)
Parent OrganizationSOUTHBRIDGE MEDICAL ADVISORY COUNCIL, INC.
NPI Enumeration Date03/03/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 311 $601.92
2019 154 $16K
2020 17 $1K
2021 713 $50K
2022 1,067 $91K
2023 1,236 $148K
2024 1,083 $59K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 2,487 1,811 $359K
T1015 Clinic visit/encounter, all-inclusive 276 233 $5K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,072 772 $978.52
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 746 548 $333.52